The "So, why?" Podcast with Stepped Care Solutions

Single Session Therapy: Helping People Now


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Single-session therapy (SST), sometimes called One-at-a-Time Therapy (OAAT), has been around for some time. It has been steadily gaining attention among providers and service delivery systems. SST can have tremendous impacts in different contexts with proven waitlist reductions and positive outcomes for many people. It is based on the assumption that something helpful can happen in one interaction. 


SST is an important approach because many people can only attend, or want to attend one session. In fact, research shows the most common number of therapy sessions attended is one session. If a person will only engage once and may never come back for another session, it becomes really important that the one session they have is helpful. One-at-a-Time Therapy provides an effective option for people seeking support to address their concerns in the moment. Borrowing from this approach, One-at-a-Time Thinking has been identified as a core component of SC2.0; this thinking considers that every encounter across the mental health system is an opportunity for a person to have a helpful experience and address their immediate concerns. 


This episode features Dr. Windy Dryden, Emeritus Professor of Psychotherapeutic Studies at Goldsmiths University of London. He is a Fellow of the British Psychological Society and has authored or edited over 275 books. His current interests are in single-session and very brief interventions within a therapy and coaching context. Relevant publications include: Single-Session Therapy: 100 Key Points and Techniques’ (Routledge, 2019) which outlines the theoretical underpinnings and practical applications of the single-session mindset and The Single-Session Counselling Primer: Principles and Practice (PCCS Books, 2020) which is a comprehensive introduction to SST for counsellors.

His book, Very Brief Therapeutic Conversations (Routledge, 2018) is focused on work he has done conducting live demonstrations of therapy/coaching in front of an audience that last 30 minutes or less. He has done more than 800 such demonstrations all over the world. 

His goal is to disseminate SST, or what he refers to as ONEplus Therapy, with the hope that it might help provide help at the point of need within the NHS. His latest book is Dryden, W. (2024). ONEplus Therapy and Common Emotional Problems (Onlinevents, 2024). 


For more information on the work of Dr. Windy Dryden and for links to his books please visit: https://www.windydryden.com/ 


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The "So, why?" Podcast with Stepped Care SolutionsBy Stepped Care Solutions